Doctor at triage – Effect on waiting time and patient satisfaction in a Jamaican hospital

French, Simone; Lindo, Jascinth; Jean, Eric W. Williams; Williams-Johnson, J

doi:10.1016/j.ienj.2013.06.001

Cited by 15 publications

(12 citation statements)

References 11 publications

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“…A further group of eight studies, including two Canadian RCTs, examined the presence of combined senior doctor and nurse triage 16 17 22 27 28 34 35 38. In the final group of 15 studies, the intervention was a senior doctor-led team triage where the senior doctor was accompanied by a team of other health professionals such as nurses and technicians.…”

Section: Resultsmentioning

confidence: 99%

The impact of senior doctor assessment at triage on emergency department performance measures: systematic review and meta-analysis of comparative studies

et al. 2015

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Section: Resultsmentioning

confidence: 99%

The impact of senior doctor assessment at triage on emergency department performance measures: systematic review and meta-analysis of comparative studies

et al. 2015

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“…One of the more common approaches is to use a TLP, but the majority of studies have assessed only attending physicians and advanced practice providers in this role. [13][14][15][16][17][18][19][20][21][22][23][24][25] Our primary outcome was overall cost effectiveness of using a TLP, defined as the ROI.…”

Section: Discussionmentioning

confidence: 99%

“…The effect of TLPs on LOS has been mixed in the literature, though the majority of studies (including a recent systematic review) demonstrate favorable effects on LOS and LWBS. [13][14][15][16][17][18][19][20][21][22][23][24][25] To the best of our knowledge, only two prior publications have assessed using residents as a TLP and had conflicting results. An abstract by Porter et al demonstrated no significant difference in LOS between resident TLPs and standard nursing triage, 28 while a study of 1,346 patients by Svirsky et al demonstrated decreased LOS without a significant change in LWBS.…”

Section: Discussionmentioning

confidence: 99%

“…[10][11][12]19 Many studies have illustrated decreased LOS with TLPs, including a systematic review by Rowe in 2011 including 28 studies that showed a 37-minute decrease in average LOS. [13][14][15][16][17][18][19][20][21][22][23][24][25] Others have also shown improved LWBS 12,[14][15][16]18 and DTP. 13,18 Alternatively, some studies have suggested that having an attending TLP is not feasible due to the increased labor costs, increased staffing needs, and variations in practice between the TLP and end provider.…”

Section: Population Health Research Capsulementioning

confidence: 99%

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213 Effectiveness of Resident Physicians as Triage Liaison Providers in an Academic Emergency Department

Weston

Aldeen

Gravenor

et al. 2014

Annals of Emergency Medicine

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Introduction: Emergency department (ED) crowding is associated with detrimental effects on ED quality of care. Triage liaison providers (TLP) have been used to mitigate the effects of crowding. Prior studies have evaluated attending physicians and advanced practice providers as TLPs, with limited data evaluating resident physicians as TLPs. This study compares operational performance outcomes between resident and attending physicians as TLPs.Methods: This retrospective cohort study compared aggregate operational performance at an urban, academic ED during pre-and post-TLP periods. The primary outcome was defined as cost-effectiveness based upon return on investment (ROI). Secondary outcomes were defined as differences in median ED length of stay (LOS), median door-to-provider (DTP) time, proportion of left without being seen (LWBS), and proportion of "very good" overall patient satisfaction scores.Results: Annual profit generated for physician-based collections through LWBS capture (after deducting respective salary costs) equated to a gain (ROI: 54%) for resident TLPs and a loss (ROI: -31%) for attending TLPs. Accounting for hospital-based collections made both profitable, with gains for resident TLPs (ROI: 317%) and for attending TLPs (ROI: 86%). Median DTP time for resident TLPs was significantly lower (p<0.0001) than attending or historical control. Proportion of "very good" patient satisfaction scores and LWBS was improved for both resident and attending TLPs over historical control. Overall median LOS was not significantly different. Conclusion:Resident and attending TLPs improved DTP time, patient satisfaction, and LWBS rates. Both resident and attending TLPs are cost effective, with residents having a more favorable financial profile. [West J Emerg Med. 2017;18(4) 577-584.]

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“…Past studies (Boudreaux et al, 2000;Merkouris et al, 2004;Johannessen et al, 2011;Tateke et al, 2012) underlined those health care providers' experiences and technical skills had a significant impact on patient satisfaction. Meanwhile, waiting time for health care was significant in the literature (Boudreaux et al, 2000;Brown et al, 2005;French et al, 2014;Mercer et al, 2014). Some past studies (Demir & Celik, 2002;Jenkinson et al, 2002;Scotti & Stinerock, 2002;Merkouris et al, 2004;Baalbake et al, 2008;Kim et al, 2008;Miranda et al, 2010;Johannessen et al, 2011;Otani et al, 2012;Tateke et al, 2012;Chang & Chang, 2013;Gok & Sezen, 2013) found that hospital facilities were significant contributing factors.…”

Section: Literature Reviewmentioning

confidence: 99%

Predicting Key Factors Affecting Outpatient Satisfaction in Public Hospitals: Evidence from Erzurum, Turkey

Alkan

Çelik²,

Oktay³

2015

ASS

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The main purpose of this paper is to determine background demographic and socio-economic factors affecting outpatient satisfaction of public hospitals. The present study utilized data from a written-questionnaire administered to six hundred and one adult patients who had received outpatient care at various units of three Turkish pubic hospitals. The dependent variable used in predicting student satisfaction was satisfaction levels of the respondents. Due to the ordinal nature of the dependent variable, an ordered logit model was performed to examine demographic and socio-economic determinants of outpatient satisfaction in Erzurum, Turkey. Ordered logit estimation results revealed that type of hospital, marital status, age group, education level, occupation, residential place, monthly income, and information about private hospitals were statistically significant factors of outpatient satisfaction. This paper attempts to present factors affecting outpatient satisfaction in a municipality which was adopted as the leading health care service provider of its region where little work was done. Considering its geographical location, the results of this substantial region may be a valuable contribution for health care managers and policy makers.

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Doctor at triage – Effect on waiting time and patient satisfaction in a Jamaican hospital

Cited by 15 publications

References 11 publications

The impact of senior doctor assessment at triage on emergency department performance measures: systematic review and meta-analysis of comparative studies

The impact of senior doctor assessment at triage on emergency department performance measures: systematic review and meta-analysis of comparative studies

213 Effectiveness of Resident Physicians as Triage Liaison Providers in an Academic Emergency Department

Predicting Key Factors Affecting Outpatient Satisfaction in Public Hospitals: Evidence from Erzurum, Turkey

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